I recently had condom protected oral and vaginal sex with an escort. I believe the condom was latex, she said she got it from the clinic so I cannot see them giving out lambskin. As far as I know the condom was intact. No obvious explosion or tear. 

My questions are

1. Since the statistic is 1 per 1000/2000 exposures would cause hiv without a condom than wouldn't it be drastically lower even if I didn't have a latex condom?

2. I have been in this std/I fear for a few months now since I had an exposure a few months back (as seen in my previous posts) should I test after this incident?

3. When if ever is it necessary to use a PCR test instead of a 4th generation test? 

4. Do PCR tests have a higher false positive rate?

Thank you for your time. 

 

I had previously asked the PCR question but did not get an answer on it directly.  Thank you for that. 

My question was in term of latex vs other condom material vs no condom at all. 

You did tell me that it doesn't matter because I tested after 42 weeks and beyond with the ag/ab.  I don't know how autoimmune diseases affect antibody production. I do understand that the antigen would be present though. Right? I just wanted to be clear on that. That is all. I know you see it as I'm being overly anxious. Again thank you. 

All the business you can find online about autoimmune diseases (and many other medical conditions) and HIV antibody production are meaningless in the era of antigen-antibody testing. None of these conditions actually is likely to interfere with antibody production. But if it did, the antigen component of the test would still work normally. There are NO known medical conditions or medications that have any effect at all on the modern AgAb HIV tests. None, not a worry, forget it -- period.

Is it possible my anxiety can be causing my symptoms? I have had throat issues and pain in my feet for a while now. I've lost quite a bit of muscle also. 

Can the early stage like the first few weeks of infection affect a women's menstrual cycle? Like 8 days when it's usually 5? 

How certain is the 6 week ag/ab negative? I have read you say 100%. I am not questioning you,  I just know that saying something is 100% is pretty strong assurance. 

I should be starting counseling soon to deal with this.  I do appreciate your knowledge and this forum. 

Again thank you.

Neither HIV nor other STDs would have any effect on a woman's menstrual cycle.

100% confidence in negative AgAb tests at 6 weeks is the expert consensus.

Don't overthink all this. As I may have said in your previous thread(s), in the 14 years I have been doing this and my previous forum at MedHelp.org, with thousands of questions about HIV risk, not one person who asked about HIV risks from an exposure that worried them ever later posted that they had caught HIV. Not one. You won't be the first. If and when that happens, almost certainly it will be from a real risk (like unprotected sex between men, or sex with a known HIV infected person), and not a minimal risk exposure like a condom protected heterosexual exposure like yours.

Having said all that, the old folk phrase come to mind:  If you can't stand the heat, get out of the kitchen. You obviously make repeated sexual choices that you regret and then worry about them despite having only safe sex. You either need to simply not have sex outside your marriage; or do your best to minimize the risk, as you have been doing, and learn to move on afterward without worry. I agree that counseling probably is the best way to achieve either of these goals.

That concludes this thread. It should be your last one about such exposures and your HIV/STD worries from them. I do hope the discussions have bene helpful.